Patch, Amanda Marie

Patch, Amanda Marie is an sole proprietor health care provider with primary practice located at 9479 Haven Ave , Rancho Cucamonga CA 91730-5844. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Patch, Amanda Marie can be contacted via phone (909) 771-8023.

Contact Information

Primary practice address
9479 Haven Ave Rancho Cucamonga CA 91730-5844
Phone: (909) 771-8023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2440-29 Wisconsin

Profile Details

NPI number 1700144227
LBN Legal business name Patch, Amanda Marie
Credentials RD, CD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2012
Last updated Jul 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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